Provider Demographics
NPI:1528955572
Name:HALLIDAY, MORGAN (OTD)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:HALLIDAY
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4769 CURT CIR
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-8030
Mailing Address - Country:US
Mailing Address - Phone:701-335-9021
Mailing Address - Fax:
Practice Address - Street 1:16500 92ND AVE N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311-5444
Practice Address - Country:US
Practice Address - Phone:763-496-6328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist